Accounts Receivable & Collections Specialist

The Accounts Receivable & Collections Specialist is responsible for managing insurance and patient accounts receivable to ensure timely reimbursement and collection of outstanding balances. This position performs claim follow-up, denial resolution, patient collections, account research, and customer service activities to support timely reimbursement and account resolution. The specialist works collaboratively with patients, payers, providers, and internal departments to resolve account issues, reduce aging accounts, and support the organization’s revenue cycle goals. This is a hybrid position requiring regular onsite attendance at the Corporate Business Office (CBO) to assist with incoming correspondence, payer communications, returned mail, and other revenue cycle support functions. Employees are expected to work onsite a minimum of two days per week and remotely on approved days in accordance with organizational policy.

Responsibilities

Managing insurance and patient accounts receivable to ensure timely reimbursement and collection of outstanding balances; Performing claim follow-up, denial resolution, patient collections, account research, and customer service; Working assigned accounts receivable daily; Reviewing and resolving unpaid, underpaid, denied, and aging claims; Conducting follow-up with commercial payers, Medicare, Medicaid, and other third-party payers; Submitting corrected claims, reconsiderations, and supporting documentation; Researching claim status and account issues; Coordinating with coding, front office, and billing staff; Processing account adjustments, transfers, refunds, and corrections; Monitoring assigned AR inventory and aging reports; Reviewing, processing, and distributing incoming payer and patient correspondence; Assisting with management of returned mail, bankruptcy notices, refund requests, medical records requests, and other revenue cycle correspondence; Reviewing and responding to assigned billing-related Communicator cases and departmental work queues; Documenting all account activity in the practice management system; Assisting with account audits and special projects; Maintaining productivity and quality standards; Escalating complex payer issues; Contacting patients regarding outstanding balances via phone, mail, and electronic communication; Answering incoming patient calls and voicemails related to billing and account inquiries; Assisting patients with billing questions, payment concerns, and account resolution; Explaining insurance processing, patient responsibility, and account balances; Establishing payment arrangements in accordance with organizational policies; Reviewing accounts for financial assistance eligibility, discounts, bad debt, or collection agency placement; Documenting all patient collection efforts and account communications; Maintaining professionalism and excellent customer service during collection activities; Performing other duties as assigned

Requirements

High School diploma or GED; Minimum 2 years of healthcare accounts receivable, collections, medical billing, or revenue cycle experience; Experience with insurance claim follow-up and patient collections; Ability to work a hybrid work schedule, including onsite attendance at the Corporate Business Office (CBO) a minimum of two days per week; Strong customer service and conflict resolution skills; Excellent verbal and written communication skills; Attention to detail and commitment to accuracy; Ability to maintain confidentiality and comply with HIPAA regulations

Nice to have

Experience working patient correspondence, billing inquiries, Communicator cases, shared work queues, or Corporate Business Office functions; Experience with physician practice billing; Experience with Athena One or similar practice management systems; Experience working with Medicare, Medicaid, and commercial insurance plans; Knowledge of healthcare reimbursement methodologies and insurance processing; Knowledge of patient collections practices and customer service principles; Ability to interpret EOBs, payer correspondence, and insurance claim information; Detail Oriented

Benefits

Medical insurance; Dental insurance; Vision insurance; Short-term disability insurance; Long-term disability insurance; Life insurance; Paid time off; 401(k) plan; Tobacco-free work environment